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Revista Brasileira de Oftalmologia

Print version ISSN 0034-7280

Abstract

BRANCO, Fernanda Carolina Exterhötter  and  GRUMANN JUNIOR, Astor. Primary reconstruction of the orbital cavity with Mules implant after enucleation and evisceration patients' profile. Rev. bras.oftalmol. [online]. 2012, vol.71, n.4, pp.221-225. ISSN 0034-7280.  https://doi.org/10.1590/S0034-72802012000400003.

OBJECTIVE: To access the patient's profile after enucleation or evisceration of ocular globe using mules implant. METHODS: An epidemiological study with a cross-sectional design was conducted, based on analysis of medical records of patients who underwent enucleation or evisceration of the eyeball assisted in the Department of Ocular Plastic and Orbit of the HRSJ from December 1999 to December 2009. The variables used were age, sex, surgery, indication, size of implant and postoperative complications associated. RESULTS: A total of 68 patients were analyzed. The mean age was 38,4 years and the most prevalent genre was male (60.3%). Young adults stood out with greater frequency of loss of the eyeball. The main etiologies presenting with enucleation or evisceration of the eyeball were ocular trauma, glaucoma, choroidal melanoma and phthisis bulbi. The ocular trauma was more prevalent in males (p<0.01). The postoperative complications more frequently were expulsion or extrusion of the implant (20.6%) and retraction of the orbital cavity (5.9%). CONCLUSION: The main causes of loss of the eyeball were ocular trauma, glaucoma, choroidal melanoma and phthisis bulbi. The postoperative complications after Mules´ implant were expulsion or extrusion of the implant and retraction of the orbital cavity. The implants 15 and 16 mm showed greater frequency and the size of the ball did not affect the risk of extrusion.

Keywords : Eye enucleation; Eye evisceration; Artificial eye; Orbital implants [complications].

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